• Andrew P Konopitski, Ajith Malige, William Rodriguez, and Chinenye O Nwachuku.
• St. Luke's University Health Network, PPHP 2, 801 Ostrum Street, Bethlehem, PA, 18015, USA. andrew.konopitski@gmail.com.
• Arch Orthop Trauma Surg. 2022 Dec 1; 142 (12): 3889-3894.

IntroductionSurgical stabilization of ankle fractures is one of the most commonly performed procedures in orthopedics, but these injuries can prove difficult to manage in patients with type II diabetes mellitus (DMII). The goal of this study is to determine if a correlation exists between surgical timing and complication rates among diabetic patients with ankle fractures.MethodsThis is a retrospective case-control study spanning from 2012 to 2019 including patients with DMII undergoing operative fixation for ankle fractures. The primary independent variable was surgical timing and the primary dependent variable was the rate of post-operative complications.ResultsThe overall complication rate was 25.5% with 60% of these patients requiring repeat surgical intervention. The most common complication was superficial surgical-site infection. There was no significant difference in surgical timing between patients experiencing post-operative complication compared to those who did not.ConclusionAmong patients with DMII, we failed to show a correlation between surgical timing and post-operative complication.© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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